Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE CCje+`,.ETED FOR APPLICATION TO BE ACCEPTED ++ q� Date: ll ( S Permit Number: �1- ©2a.� Building Permit Application SCAIVNEL, Planning and Development Services BY Building and Code Regulation Division St. Lucie Count, 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITAPPLICATION FOR: P,ROPOSED`I'NPROVEMENT'LOCATION.=',,. Address: Legal Description: UO- ^ 33 r:U c)o3 — O I o —$ SP_y S ;NP Keri 4++�; C4.2r( W- sN- S , 0Coanj u S (1 --2s'o 4 — aacJ3 0(ord - s Property Tax lD #: �Q 512-- 33�t- 0003 r- o! 0 - 8- Lot No. Site Plan Name: rw Block No. Project Name: EMP(a,*e a i;r^�g rd� ^2C, FPnrGP t1.5X4I(a�.ta� Setbacks Front Back: Right Side: Left Side: LUG\e Cbun A-kj It IC4e ara-�S Pn.P(cr� _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _ Electric _ Plumbing_ Sprinklers _ Generator Roof Total Sq. Ft of Construction: (u Sq. Ft. of First Floor: / PJU Cost of Construction:$ MQ . Utilities: _Sewer _Septic Building Zght: A OWNER/LESSEE?-`' p CONTRACTOR Name n O _�s•_ �u Q �2 r I me .1 CsA 10 Address: LL.Su S A) F' C ill ,CogmPRny:-cou.y",Y zys i L LC ity. C.Sm1SPnnr� Sy, City: 13c�� State: rC. ZpiCode.-5?q: S 7- �-� Fax:772-- 4A.f Og5 6 Phone No._?99- -- G 78-- R 6% V Zip Code: � LI4 7 V Fax: Phone No '77Z- y0q— 799Z L E-Mail: O2aG� 13237312 ft"1roAN Fill in fee simple Title Holder on next page (if different E-Mail State or County License ' from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencingwork or recordingour Notice of Commencement. ae ev. SUPS?LEMENi'�LCONST}$rRp}}11CTIO, LIENtiLAW tNF .�gryl.a RMATIO,�t DESIGNE^R/ENGIN ER-,_ Name: NGN ��. � J . s u Not Applicable MORTGAGE COMPANY: Name: Not Applicable Address: O o-/� j Address: City: J n✓ Zip:'�ijS7 Phone777_—��f State: ��14b0 City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: LL•C. Not Applicable � BONDING COMPANY: Name: Not Applicable Address: U U S Address: City: City: Zip: Phone: — 69 — Zip: Phone: ignature of Owner/ Lessee/Agent Sign uref Contractor/L tense Holder STATE OF FLORIDA COUNTYOF Mar-1`,rN STATE OF FLOR14A COUNTY OF Ma�'�',`N The forgoing instrument was aacknowledged before me The forgoing instrument wa acknowledged before me acknowledged this) ,20L by this�dayof by (�day1of9nMGVf�P^`�e�' �m�B-OY•�l " I;.kSiS0.�Q .��PN `�F(1Cl,i (Name of person acknowledging) (Name of person acknowledging) (S use of Notary Public- State o orida) (Si u e of Notary P�ubli/c-State orida ) � y Personally Known OR Produced Identification ers ally KnownOR Produced Identification Type of Identification PERRYC.CALIGIURI ype of Identification Produced r;�;e^•.,, MY COMMISSION 7 FF 095022 roduced E%PIKES: March 6, 201a ^'• pei bN Nary PublicUndan+ean Commission No. g,.ev= (�ie01p ��� � �G 2 PERRY C. CAIIGIURI ommission No.Se��II11 COMMISSIONBFF 095U p f l �q / Q22 �1f '--^.,iog EXPIRES: March 6, 201 •• dG` BanaM Thou Nulary Pobic Unde REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW - REVIEW REVIEW DATE RECEIVED DATE COMPLETED